Practice Patterns of Young Physicians, 1997: [75 Largest Metropolitan Statistical Areas in the United States] (ICPSR 2829)

This survey reinterviewed a subsample of physicians who
responded to the survey PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1991:
[UNITED STATES] (ICPSR 6145). Respondents answered questions about
their practice arrangements, such as the number of different medical
practices that they worked in during the past month, the number of
hours spent providing patient care, and the number of patients seen in
the past week. They also described the characteristics of their main
practice in terms of type of practice setting, practice ownership,
number of physicians, percentage of revenues from patients covered by
Medicaid and Medicare, share of Medicaid and Medicare revenues from
managed care organizations, percentage of patients with no health
insurance coverage, and percentage of Black and Hispanic
patients. Other information covered whether the practice had a formal
mechanism for reviewing clinical practice decisions, whether it had
contracted to provide care through a Preferred Provider Organization
(PPO), Health Maintenance Organization (HMO), or Independent Practice
Arrangement (IPA), whether it was joined with one or more physician
practices or was purchased by an insurance company in the past two
years, percentage of revenues from PPO, HMO, and IPA arrangements, and
whether there were personal financial incentives that favored reducing
or expanding services to patients. Additionally, respondents were
asked whether contracts or other communications received from
insurance plans implied that continued participation in the plans
depended upon costs associated with their clinical decisions, or
implied that they should not tell patients about restrictions on
coverage for medically accepted testing, treatment, or referral
options. Other questions probed respondents' career satisfaction,
ethical beliefs regarding the practice of medicine, and freedom to
practice medicine as they saw fit. The survey also gathered
information on determinants of physician compensation, medical
specialty, income, marital status, spouse's occupation, and the number
of children living with the respondent.

This survey reinterviewed a subsample of physicians who
responded to the survey PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1991:
[UNITED STATES] (ICPSR 6145). Respondents answered questions about
their practice arrangements, such as the number of different medical
practices that they worked in during the past month, the number of
hours spent providing patient care, and the number of patients seen in
the past week. They also described the characteristics of their main
practice in terms of type of practice setting, practice ownership,
number of physicians, percentage of revenues from patients covered by
Medicaid and Medicare, share of Medicaid and Medicare revenues from
managed care organizations, percentage of patients with no health
insurance coverage, and percentage of Black and Hispanic
patients. Other information covered whether the practice had a formal
mechanism for reviewing clinical practice decisions, whether it had
contracted to provide care through a Preferred Provider Organization
(PPO), Health Maintenance Organization (HMO), or Independent Practice
Arrangement (IPA), whether it was joined with one or more physician
practices or was purchased by an insurance company in the past two
years, percentage of revenues from PPO, HMO, and IPA arrangements, and
whether there were personal financial incentives that favored reducing
or expanding services to patients. Additionally, respondents were
asked whether contracts or other communications received from
insurance plans implied that continued participation in the plans
depended upon costs associated with their clinical decisions, or
implied that they should not tell patients about restrictions on
coverage for medically accepted testing, treatment, or referral
options. Other questions probed respondents' career satisfaction,
ethical beliefs regarding the practice of medicine, and freedom to
practice medicine as they saw fit. The survey also gathered
information on determinants of physician compensation, medical
specialty, income, marital status, spouse's occupation, and the number
of children living with the respondent.

Guidelines for Applying for Restricted Data

Before you begin an application you will need the following information to complete the form

General Requirements:

appointment at research institution; appointment must be under the jurisdiction of the receiving institution

degree requirements (possibly doctorate)

Must be submitted:

project description

IRB approval

approved security plan

roster of research and IT staff who can access or view the data or computer where data are hosted.

confidentiality pledges for all people on roster

Some require:

CV's

As explained in the codebook, some variables are restricted from general dissemination for reasons of confidentiality. Users interested in obtaining these data must complete an Agreement for the Use of Confidential Data, specify the reasons for the request, and obtain IRB approval or notice of exemption for their research. Apply for access to these data through the ICPSR restricted data contract portal, which can be accessed via the study home page.

Any public-use data files in this collection are available for access by the general public.
Access does not require affiliation with an ICPSR member institution.

Dataset(s)

Study Description

Citation

Hadley, Jack. Practice Patterns of Young Physicians, 1997: [75 Largest Metropolitan Statistical Areas in the United States]. ICPSR02829-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2000. https://doi.org/10.3886/ICPSR02829.v1

Universe:
Allopaths who responded to the survey PRACTICE PATTERNS OF
YOUNG PHYSICIANS, 1991: [UNITED STATES] (ICPSR 6145) were located in
the 75 largest Metropolitan Statistical Areas/ Primary Metropolitan
Statistical Areas in 1991, and worked 20+ hours per week in patient
care in 1991. These physicians were under age 52 and had completed
8-17 years of post-residency training at the time of the survey. The
allopath sample of the survey PRACTICE PATTERNS OF YOUNG PHYSICIANS,
1991: [UNITED STATES] (ICPSR 6145) had three components: (1) A simple
random sample of physicians born in 1952 or later who completed
residency training in 1986-1989, (2) an oversample of minority
physicians who met the same criteria as the first component, and (3) a
simple random sample of physicians who participated in the survey
PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1987 (ICPSR 9277).

Data Type(s):
survey data

Data Collection Notes:

The cases in this study can be linked to cases in
PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1991: [UNITED STATES] (ICPSR
6145) by matching on the common ID variable CSID.

The SAS
transport file was created using the SAS CPORT procedure.

The data
map is provided as an ASCII file and the codebook is provided as a
Portable Document Format (PDF) file.

Methodology

Sample:
The entire universe was sampled with a 70.7-percent
response rate.